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MATTHEW E. KENT, O.D., P.A.

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Company Details

Name: MATTHEW E. KENT, O.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Jun 2005 (20 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 489026
Place of Formation: IDAHO
File Number: 489026
ZIP code: 83352
County: Lincoln County
Mailing Address: 520 N GREENWOOD ST SHOSHONE, ID 83352-5432

Agent

Name Role Address
MATTHEW E KENT Agent 520 N GREENWOOD ST, SHOSHONE, ID 83352

President

Name Role Address Appointed On
Matthew E Kent President 520 N GREENWOOD ST, SHOSHONE, ID 83352-5432 2021-05-03

Secretary

Name Role Address Appointed On Resigned On
Rebecca E Kent Secretary 520 N GREENWOOD ST, SHOSHONE, ID 83352-5432 2024-05-04 2024-05-04

Treasurer

Name Role Address Appointed On Resigned On
Matthew E Kent Treasurer 520 N GREENWOOD ST, SHOSHONE, ID 83352-5432 2024-05-04 2024-05-04

Director

Name Role Address Appointed On Resigned On
Matthew E Kent Director 520 N GREENWOOD ST, SHOSHONE, ID 83352-5432 2024-05-04 2024-05-04

National Provider Identifier

NPI Number:
1851740716

Authorized Person:

Name:
DR. MATTHEW E. KENT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2085372010

Filing

Filing Name Filing Number Filing date
Annual Report 0006235652 2025-05-05
Annual Report 0005723124 2024-05-04
Annual Report 0005251318 2023-05-25
Annual Report 0004745644 2022-05-12
Annual Report 0004264013 2021-05-03

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State